DR. THEODORE P. LOGAN (MD) – Psychiatry Physician, NPI 1427054873
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
202 PSYCHIATRY in ME
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Provider Addresses for DR. THEODORE P. LOGAN (MD)
Maine Behavioral Healthcare, 12, Union Street, Rockland, Knox County, Maine, 04841, United States
ROCKLAND, ME 048412739
Phone: (207) 701-4400
Fax: (207) 701-4487
Type: Location
300, Southborough Drive, South Portland, Cumberland County, Maine, 04106, United States
SUITE 201
SOUTH PORTLAND, ME 041066914
Phone: (207) 661-2018
Fax: (207) 661-2033
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060207000610 | I | Psychiatry | ME | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 14 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 37 | 13 | $0 |
Insurance plans in this area (ZIP 04841)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHIATRY | ME | 90792 | Psychiatric diagnostic evaluation with medical services | 34 | 32 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Neurology | ME | |
| P S Y C H I A T R Y | SD | |
| Nurse Practitioner | ME | |
| - | ME | |
| Clinical Psychologist | ME | |
| Clinical Social Worker | ME | |
| P S Y C H I A T R Y | TX | |
| - | ME | |
| P S Y C H I A T R Y | ME | |
| - | ME |
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